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Gilja OH, Lunding J, Hausken T, Gregersen H.Gastric accommodation assessed by ultrasonography.
World J Gastroenterol 2006 May;12(18):2825-2829
Gastric accommodation assessed by ultrasonography
Gilja OH, Lunding J, Hausken T, Gregersen H.
National Centre for Ultrasound in Gastroenterology Department of Medicine, Haukeland University Hospital, N-5021 Bergen, Norway. odd.gilja@uib.no
Gastric accommodation is important for the under-standing of the pathophysiology in functional dyspepsia and is also relevant for symptom generation in other disorders. The term gastric accommodation has at least three different meanings: The accommodation process, the accommodation reflex, and the accommodation response. The gastric accommodation process is a complex phenomenon that describes how the size of the gastric compartment changes in response to a meal. The electronic barostat is considered the gold standard in assessing gastric accommodation. Imaging methods, including MRI, SPECT, and ultrasonography may also be used, particularly in patients who are stress-responsive, e.g. functional dyspepsia patients, as a non-invasive and less stress-inducing method is favourable. Ultrasonography satisfies these criteria as it does not by itself distort the physiological response in stress-responsive individuals. |
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